Tuberculosis is especially common in African countries where HIV is common. Although pulmonary tuberculosis is generally seen, testicular tuberculosis can rarely be seen in young men. Especially in African countries, it is not possible to study acidresistant bacilli, polymerase-chain reaction and culture due to financial impossibility. For this reason, history, physical examination, scrotal ultrasonography and fine needle biopsy help in diagnosis in suspected cases of testicular tuberculosis. Cure is possible with six months of treatment.
Tetanus is still a major problem in sub-Saharan African countries. This study aims to evaluate tetanus disease and vaccine awareness among healthcare workers in Mogadishu. This descriptive, cross-sectional study was scheduled for January 2–7, 2022. A questionnaire consisting of 28 questions was applied in a face-to-face manner to 418 healthcare workers. Only health workers aged≥18 living in Mogadishu were included. Questions about sociodemographic characteristics, tetanus disease, and vaccines were developed. 71.1% of the participants were female, 72% were ˂25 years old, 42.6% were nursing students, and 63.2% had a university education. It was observed that 46.9% of the volunteers had an income level of <$250, and 60.8% resided in the city center. 50.5% of the participants received a tetanus vaccine in their childhood. Questions to determine participants’ level of knowledge about tetanus and the tetanus vaccine were responded to with an accuracy of between 44 and 77%. Although 38.5% of the participants reported that they were exposed to trauma at least once a day, the rate of those who had three or more doses of the vaccine was only 10.8%. On the other hand, 51.4% reported that they had received training about tetanus and vaccination. There was a significant difference (
p
< .001) in terms of knowledge level among sociodemographic characteristics. The fear of side effects was the most important reason for not being vaccinated. Healthcare workers in Mogadishu have little awareness of tetanus disease and vaccines. Efforts to improve education and other factors will be sufficient to eliminate the disadvantage brought about by the socio-demographic structure.
Amaç: Kan dolaşımı enfeksiyonları, yoğun bakım ünitelerinde takip edilen hastalarda karşılaştığımız en önemli sorunlardan
biridir. Çalışmamızda yoğun bakım ünitesinde SARS-CoV-2 (COVID-19) pozitifliği veya diğer nedenlerle izlenen hastaların
demografik özellikleri ve bakteriyemi epidemiyolojilerini karşılaştırmalı olarak incelemeyi amaçladık.
Gereç ve Yöntemler: Çalışmaya kan kültürü çalışılan 192 olgu (>18 yaş) dahil edildi. Olgu grubunda 30'u COVID-19 pozitif,
kontrol grubunda 30'u COVID-19 negatif olmak üzere toplam 60 vakanın kan kültürü sonuçları incelendi.
Bulgular: Olgu grubundaki hastaların 13'ü (%43.3) kadın, 17'si (%56.7) erkekti ve grubun yaş ortalaması 63.8±19 (22-88)
idi. Kontrol grubunun 15'i (%50) kadın, 15'i (%50) erkek ve grubun yaş ortalaması 76.1±17.6 (48-92) idi. Cinsiyet (p=0.605),
sepsis dışı komorbid durum (p=0.005), üretilen izolat sayısı (p=0.260), kan kültür seti miktarı (p=0.118), bakteriyemi risk
faktörleri ve ölüm oranları (p=0.612) açısından iki grup arasında istatistiksel olarak anlamlı fark yoktu. Ancak yaş ortalaması
(p=0.000), cilt kontaminasyonu (p=0.028) ve prednizolon tedavisi (p=0.000) açısından farklılıklar vardı.
Sonuç: COVID-19 nedeniyle yoğun bakım ünitelerinde yatan hastalarda kan dolaşımı enfeksiyonu riski, COVID-19 dışı
nedenlerle yatırılan hasta grubundan farklı değildir.
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